Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please read it carefully.

Our Legal Duty

At myPharmacy, we are required by federal law under the Health Insurance Portability and Accountability Act (HIPAA) to protect the privacy and security of your Protected Health Information (PHI). This notice outlines our legal duties and privacy practices and applies to all pharmacists, technicians, employees, and business associates involved in your care at our pharmacy.

We are committed to keeping your PHI confidential and secure, and to giving you control over how it is used and shared.

What Is PHI?

PHI refers to information that:

  • Identifies you personally, and
  • Relates to your past, present, or future physical or mental health condition, the healthcare services provided to you, or the payment for such services.

How We May Use and Disclose Your PHI Without Your Written Permission

  1. For Treatment

We may use your PHI to fill prescriptions and provide counseling. We may also disclose it to doctors, hospitals, or other pharmacies involved in your care.
Example: We may contact your physician to verify a prescription or adjust a dosage.

  1. For Payment

We use and disclose your PHI to bill you or your insurance company and to verify insurance coverage.
Example: We may submit your prescription to your insurer for reimbursement or copay processing.

  1. For Healthcare Operations

We use PHI to improve our services, ensure quality, train staff, and comply with audits or internal reviews.
Example: We may review prescriptions to ensure proper dosage accuracy across our staff.

Other Uses and Disclosures Permitted or Required by Law

We may share your PHI without your written permission for these reasons:

  • To family members or caregivers involved in your care, unless you object
  • For public health activities, such as reporting adverse drug events, disease control, or product recalls
  • To law enforcement when required by subpoena, warrant, or court order
  • For health oversight activities, such as inspections or investigations by licensing boards or regulatory agencies
  • For workers’ compensation claims as authorized by law
  • To coroners and funeral directors, to identify a deceased person or determine cause of death
  • For organ and tissue donation coordination, if applicable
  • For disaster relief efforts, to notify your family or emergency contacts
  • To military command authorities, if you are in the armed forces
  • For national security and intelligence purposes, as authorized by law
  • To correctional institutions or law enforcement when you are in custody and information is necessary for safety or care
  • To prevent serious threats to health or safety

Uses and Disclosures That Require Your Written Authorization

We will obtain your explicit written consent before using or disclosing your PHI for:

  • Marketing purposes
  • Selling your PHI
  • Sharing psychotherapy notes (if applicable)

You may revoke your authorization in writing at any time. This will not affect prior uses or disclosures made in reliance on your consent.

Your Rights Regarding Your PHI

As a patient of myPharmacy, you have the right to:

  1. Receive a Copy of This Notice

You can request a paper or electronic copy of this Notice at any time.
Call: 703-398-1500
Email: myPharmacyllc@gmail.com
Visit: Our pharmacy at 14202 Smoketown Rd, Woodbridge, VA 22192

  1. Access Your PHI

You may inspect or request copies of your PHI in paper or electronic format. We may charge a reasonable, cost-based fee for producing these records.

  1. Request Corrections

If you believe any information we have is incorrect or incomplete, you can request a correction. Your request must be in writing. If we deny your request, we will provide a written explanation.

  1. Request Restrictions on Sharing

You may ask us to limit how we use or disclose your PHI. We are not required to agree, except when:

  • You paid out-of-pocket in full for a service or medication, and
  • You request that we do not disclose that information to your insurance provider.
  1. Request Confidential Communications

You can request that we contact you at a specific address, phone number, or email address. We will honor all reasonable requests.

  1. Receive an Accounting of Disclosures

You may request a list (called an “accounting”) of instances where we disclosed your PHI for purposes other than treatment, payment, or healthcare operations, for the past 6 years.

  1. Receive Breach Notification

You have the right to be notified if your unsecured PHI is accessed, used, or disclosed in a way that is not permitted and poses a significant risk to you.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your PHI.
  • We will inform you promptly if a breach compromises your PHI.
  • We must follow the duties and privacy practices described in this Notice.
  • We reserve the right to update this Notice and apply changes to all PHI we maintain.

You may always obtain the most recent version of this Notice at our pharmacy or online at: [Insert your website URL]

Questions or Complaints

If you have any questions or feel your rights have been violated, please contact:

Privacy Officer
myPharmacy
14202 Smoketown Rd
Woodbridge, VA 22192
📞 703-398-1500
📧 myPharmacyllc@gmail.com

You may also file a complaint with the U.S. Department of Health and Human Services at:
🔗 www.hhs.gov/ocr/privacy

We will never retaliate against you for filing a complaint.

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